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BALCHANDER K RAO MD
NPI 1710026158
Internal Medicine - Pulmonary Disease in Houston, TX

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
1631 NORTH LOOP WEST, SUITE 450, HOUSTON, TX 77008(713) 861-8884(713) 861-6312 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Balchander K Rao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALCHANDER K RAO MD (NPI 1710026158) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (E9350) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1710026158
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBALCHANDER K RAOCredential: MD
Location Address1631 NORTH LOOP WEST, SUITE 450Houston, TX 77008
Mailing Address1631 North Loop West, Suite 450Houston, TX 77008 · (713) 861-8884 · Fax (713) 861-6312
Phone(713) 861-8884
Fax(713) 861-6312
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateFebruary 5, 2007
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1710026158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · E9350
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1631 NORTH LOOP WEST, Houston, TX 77008
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Other Names 1

Professional Name (2)Dr. B K Rao Md

Other Identifiers 1

Medicaid098793501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Balchander K Rao Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062470651
PECOS Enrollment IDI20140217000147
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
226 services64 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$64.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.15 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers18 claims3,443 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.73 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers19 claims19 services$24.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAYD S KAYLANI MD PA
Internal Medicine
1631 NORTH LOOP WEST, SUITE 650
HOUSTON, TX 77008
Harris County (713) 869-5855
MICHAEL W STAVINOHA MD PA
Internal Medicine (Gastroenterology)
1631 NORTH LOOP WEST, SUITE 655
HOUSTON, TX 77008
Harris County (713) 869-8200
DR. LUKE IGNATIUS BURKE MD
Otolaryngology
1631 NORTH LOOP WEST, SUITE 620
HOUSTON, TX 77008
Harris County (713) 868-4451
VASCULAR PHYSICIAN ASSISTANTS OF HOUSTON PA
Surgery
1631 NORTH LOOP WEST, SUITE 610
HOUSTON, TX 77008
Harris County (713) 880-8600
CHRISTOPHE C. SALCEDO, M.D. AND ASSOCIATES, P.A.
Surgery
1631 NORTH LOOP WEST, SUITE 635
HOUSTON, TX 77008
Harris County (713) 880-0218
MEMORIAL HERMANN SURGERY CENTER NORTHWEST, LLP
Clinic/Center (Ambulatory Surgical)
1631 NORTH LOOP WEST, SUITE 300
HOUSTON, TX 77008
Harris County (713) 343-1080
DR. JUAN CARLOS BARRIGA M.D.
Internal Medicine (Pulmonary Disease)
1631 NORTH LOOP WEST, SUITE 550
HOUSTON, TX 77008
Harris County (713) 426-5864
MICHAEL W STAVINOHA MD PA
Internal Medicine (Gastroenterology)
1631 NORTH LOOP WEST, SUITE 655
HOUSTON, TX 77008
Harris County (713) 869-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balchander Rao's NPI number?

The NPI number for Balchander Rao is 1710026158. It was assigned to this individual provider in the NPPES registry on February 5, 2007. The provider is also known as Dr. B K Rao MD.

Where is Balchander Rao located?

Balchander Rao practices at 1631 North Loop West Suite 450, Houston, TX 77008. The listed phone number is (713) 861-8884.

What is Balchander Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Balchander Rao enrolled in Medicare?

Yes. Balchander Rao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Balchander Rao accept?

Health plans from Community Health Choice list Balchander Rao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Balchander Rao affiliated with any hospitals?

According to CMS data, Balchander Rao is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Balchander Rao was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.